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SVT in the Field: Revisiting Adenosine and Diltiazem as First-Line Agents

Author: Robert Skinner, MD; Assistant Professor of Emergency Medicine – University of Tennessee Health Science CenterEditor: Michael DeFilippo, DO; Assistant Professor of EM and EMS – Washington University at St. Louis School of Medicine Case: You’re on call for medical control for the day. You receive a call from a paramedic asking for orders for

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Aviation Concepts for Emergency Medicine and EMS – BOLD FACE

Authors: Joshua Stilley, MD FACEP FAEMS; Medical Director, University of Missouri Ambulance and Jacquelyn Brown, NRP; Paramedic, University of Missouri AmbulanceEditor: Michael DeFilippo, DO; Assistant Professor of EM and EMS; Washington University at St. Louis School of Medicine In emergency medicine and EMS, we use many cognitive tools to enhance decision-making. One of the most

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Point-of-Care Ultrasound for Pulse Detection in Cardiac Arrest: Implications for Prehospital Care

Author: Matt Olocco, MD; Emergency Medicine Resident Physician, WashU School of Medicine Editors: Alex Blau, DO, EMS Physician Fellow – ChristianaCare / Delaware Division of Public Health; Michael DeFilippo, DO, Assistant Professor of EM & EMS, WashU School of Medicine Editors’ Introduction:Accurate and timely pulse detection during cardiac arrest is critical for both guiding resuscitation

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OMI, NOMI, and EMS: The Case for EMS Recognition of Occlusive MI

Author: Daniel Johnson, DO, FACEP; Assistant Professor, Department of Emergency Medicine, Life Lion EMS & Critical Care Transport, Penn State Health Milton S. Hershey Medical Center Editors: Alex Blau, DO; Michael DeFilippo, DO, Assistant Professor of EM & EMS, WashU School of Medicine Clinical Case The day after a snowstorm you are working for a

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Response to Non-Accidental Trauma and Traumatic Brain Injury in Infants and Young Children

Author: Rachel O’Dell, MD; Washington University Emergency Medicine Residency Editor: Michael DeFilippo, DO As first-responders, EMS personnel are in a unique position to observe and categorize the setting and behaviors of children presenting with possible non-accidental trauma (NAT). However, children, and especially infants, pose a particular difficulty in identifying trauma due to their subtle presentation.

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Agitated with a head injury: Will Ketamine make it worse?

Author: Katie Stuart MD; Washington University Emergency Medicine Residency Editors: Sarah Fabiano MD, FACEP, FAAEM & Michael DeFilippo DO You are a second-year emergency medicine resident physician doing a ride along with a helicopter-based EMS (HEMS) agency. You are dispatched to the scene of a golf cart versus tree. The air crew successfully identifies a

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